MEDICARE: MRS. KAREN LYNNETTE BROWNING PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	999	NM

General Provider Information

NPI Number	:	1528025467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN LYNNETTE BROWNING PT

Provider Business Mailing Address
First Line	:	9515 ADMIRAL LOWELL AVE NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87111-1203
Country	:	US
Telephone Number	:	505-822-8422
Fax Number	:

Provider Business Practice Location Address
First Line	:	4824 MCMAHON BLVD NW
Second Line	:	SUITE 101
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87114-5412
Country	:	US
Telephone Number	:	505-897-3575
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	01/15/2010

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